Examinando por Autor "Fernández Carlos, Marilyn Sayuri"

Mostrando 1 - 3 de 3

Acceso abierto
Effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period
(Universidad Privada Norbert Wiener, 2019-06-30) Fernández Carlos, Marilyn Sayuri; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period. Materials and Methods: Systematic review, using the GRADE evaluation system. Databases: Scielo, Pubmed, Elsevier, and Medline. 30% are quasi-experimental studies, 30% cohort studies, 20% systematic reviews, 10% prospective studies, and 10% cross-sectional studies. 50% of the articles are of high quality, with strong evidence strength, 30% of moderate quality with strong evidence strength, and 20% of low quality with weak evidence strength. 70% belong to the USA, 10% to Italy, 10% to Spain, and 10% to Sweden. Results: All systematically reviewed articles indicate effectiveness in the application of a preventive package to reduce surgical wound infections in patients during the intraoperative period. Conclusions: The application of a preventive package to reduce surgical wound infections in patients during the intraoperative period is effective: it decreases the risk of surgical site infections, improves patient care quality, promotes monitoring of surgical wound infection statistics, and prevents bacterial growth with high compliance to strategies aimed at reducing surgical wound infections.
Acceso abierto
Effectiveness of mannitol treatment compared to hypertonic saline solution in patients with intracranial hypertension
(Universidad Privada Norbert Wiener, 2018-07-08) Astete Osorio, Sherly Kety; Fernández Carlos, Marilyn Sayuri; Rivera Lozada de Bonilla, Oriana
Objective: To systematize the evidence on the effectiveness of mannitol treatment compared to hypertonic saline solution for reducing intracranial pressure in patients with intracranial hypertension. Material and Method: This systematic review is quantitative. Searches were conducted in various databases, from which 10 articles were selected: 3 meta-analysis designs, 5 systematic reviews, and 2 controlled clinical trials. All articles were evaluated using the GRADE system. Results: Of the total 10 articles, 80% (8/10) show that the use of hypertonic saline solution is more effective in treating intracranial hypertension, while 20% (2/10) show that both osmotic agents present heterogeneous results in treating intracranial hypertension. Conclusions: The systematic review provides evidence that 8 out of 10 articles demonstrate that hypertonic saline solution is more effective than mannitol in controlling intracranial pressure, maintaining stable systemic and cerebral hemodynamics, improving relaxation and cerebral perfusion, and reducing secondary sequelae. However, 2 out of 10 articles show that both osmotic agents have heterogeneous results in treating intracranial hypertension.
Acceso abierto
Satisfacción y calidad de atención del usuario externo del área de emergencias del hospital de emergencias de Villa el Salvador, 2020.
(Universidad Privada Norbert Wiener, 2021-06-30) Fernández Carlos, Marilyn Sayuri; Caycho Valencia, Felix Alberto
Objetivo: Determinar la relación entre la Satisfacción del usuario externo del área de emergencia con la Calidad de Atención percibida en el Hospital de Emergencias de Villa el Salvador en el año 2020, Materiales y métodos: La investigación fue hipotético- deductivo, cuantitativo, aplicada, correlacional, de diseño no experimental, transeccional, una población conformada por 150 pacientes, con una el muestreo de 100 pacientes, se empleó el cuestionario para ambas variables de estudio, Resultados: Los resultados indicaron que los usuarios se encontraban insatisfechos con los servicios que se brindaban en el hospital, no existe una relación lineal entre el clima y la satisfacción del usuario externo con un r=-0.173 y un p-valor de 0.002, refiriendo que el clima se relaciona de manera negativa y débil con la satisfacción del usuario externo Conclusión: Se obtuvo una relación de significancia estadística en las variables de estudio (valor “p” 0, 00 es decir inferior a 0.05) y hay correlación (r=0.446), con una correlación débil y positiva, entre la variable Satisfacción y Calidad de atención del hospital.